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Now

offering
CAP-
Approved
Analytes!!

Improving Quality Care Through


Accurate Diagnostic Testing

A Service of

Approved by: CAP*, CMS, COLA, TJC (formerly JCAHO), U.S. State Agencies, several international regulatory bodies
*for selected analytes
With MLE, save BIG on PT!
CAP-accredited?
Whether you use MLE as your primary or secondary PT provider, you'll save on PT for the CAP-approved
analytes (see listing on page 17, 18) that we offer, and we'll even waive the annual administration fee!
When you order, select ADVANTAGE offer #10.

PLUS, only 3 shipments per year leaves you more time for other important activities throughout the year!

TJC, CLIA, or State-accredited?


Compare MLE to your current PT provider. If our discounts aren’t the best, we will match our competitor’s
pricing for the same test menu coverage. Details on page 20.

Why Choose MLE?


• Cost-effective “add-ons”
• Only 3 shipments per year
• ADVANTAGE discounts and Price Matching Option (see pages 20, 21, and Inside Back Cover)
• Off-Schedule Proficiency Testing—Available to every laboratory, regardless of MLE enrollment status
(see page 16)
• Immediate, live Customer Service and Technical Support

Online Options
• Online result reporting
• Participant summaries—Print the entire summary or only the pages you need
• Evaluation reports—Access current and past reports
• FREE continuing education courses
• Program forms

Waived Testing and PPM Services


• Special two-sample test menu
• A cost-effective Waived and PPM package—all the tests you need in one module
• FREE E-notification service on newly approved waived tests and on recalls for waived devices
• FREE “Waived Testing—Doing It Right,” answers questions about waived testing criteria, test categories,
standards, and cost

MLE Exceeds the Standard


For 38 years, MLE, a service of the American College of Physicians, has provided reliable, user-friendly PT service
at a substantial cost savings.

Act Now!
Locate the tests you need (see pages 2–16), check the inside back cover of this catalog to see which discount is right
for you, then complete the PT Order Form on page 24 or online at www.acponline.org/mle/enroll.htm. It’s THAT easy!

MLE9030-2
2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

Table of Contents At a Glance


Overview/What’s New Customer Service Hours and Contact
What’s New . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Back cover
Information
Overview/How MLE Works . . . . . . . . . . . . . . . . . . . . . . . . . .4 Monday through Friday from 9:00 a.m. to 5:00 p.m. ET
Telephone: 1-800-338-2746, option 5
Test Index and Module Descriptions E-mail: mle@acponline.org
Test Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3 Fax: 202-835-0440
(See P. 17, 18 for CAP-Approved Analytes listing) Web: www.acponline.org/mle
Hematology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Coagulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Enrollment/Renewal of Proficiency Testing
Blood Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Whichever method of enrollment you select, once we process
Urinalysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 your order, you will be mailed an order verification for your
PPM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 review and signature.
Microbiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Online Order Form: Visit www.acponline.org/mle. Click
Immunology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 on the “Enrollment Info” link. Complete the appropriate
Chemistry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 electronic order form to automatically calculate pricing,
and you will receive an order summary page.

Waived Testing MLE PT Order Form: Detach the order form, complete it
and fax it. (If submitting a purchase order, please fax.)
Waived Module Descriptions . . . . . . . . . . . . . . . . . . . . . . .14 Fax: 202-835-0440.
“E-Notification” of Waived Devices and Recalls . . . . . . . . .14

Mail:
Provider-Performed Microscopy (PPM) . . .7, 16
Mailing Form with Payment Mailing Form w/o Payment

Lab Supplies & Services . . . . . . . . . . . . . . . . . . . . .16 RO800 MLE/ACP


ACP/MLE Suite 700
Automatic Renewal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
PO Box 7777 25 Massachusetts Ave. NW
Online Result Reporting System—WDES . . . . . . . . . . . . .16
Philadelphia, PA 19175-0800 Washington, DC 20001-7401
Off-Schedule Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

NEW! "CAP-Approved Analytes" . . . . . . . .17, 18 Method of Payment


Enroll now to ensure the availability of specimens for the
Ordering and Discounts 2011 program year. We will not bill you until November.
MLE ADVANTAGE Discounts . . . . . . . . .Inside Back Cover Subsequent enrollments will be billed within 1 week after
Price Match Service . . . . . . . . . . . . . . . . . . . . . . . . . .20, 21 activation and are payable within 30 days. Payment options
How to Order/Ordering Instructions . . . . . . . . . . . . . . . . .22 include credit card (Mastercard or Visa), purchase order, or
Order Changes/Cancellations . . . . . . . . . . . . . . . . . . . . . . .19 check.
FAQ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Off-Schedule Proficiency Testing
Price List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Proficiency Testing Order Form . . . . . . . . . . . . . . . . . . . . .24 Provides laboratories with an option for immediate, on-
demand proficiency testing, a complement to the regular
Save Money!—Price Matching for scheduled proficiency testing. For more details on this
Unmatched Service service, see page 16.
Found a lower price? We’ll match it!
Complete the MLE Price Match Request Form
(page 21), listing only the tests you
actually perform. If our prices aren’t the lowest,
we’ll match our competitor’s pricing for the same
test menu coverage.

Medical Laboratory Evaluation 2011 www.acponline.org/mle 1


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

Test Index C. difficile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9


Chlamydia (EIA/DNA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Chloride . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 13, 15, 16
(Descriptions are located on pages 5–16) Cholesterol, Total . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15
Regulated tests are listed in bold type. Cholesterol, HDL . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15
Cholesterol, LDL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
ABO Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 CK-MB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Acetaminophen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 CO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15, 16
Acetone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Colony Count . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Affirm VPIII (DNA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Compatibility Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
AFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Complement C3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Albumin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15 Complement C4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Alcohol, Serum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Cortisol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Alkaline Phosphatase . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15 C-Reactive Protein (CRP) . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 10
Allergy Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 C-Reactive Protein, high sensitivity (HS-CRP) . . . . . . . . . . . .10
ALT (SGPT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15 Creatine Kinase (CK) . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15
Amikacin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Creatinine, Serum . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15, 16
Ammonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Creatinine, Urine . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7, 15, 16
Amylase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15 Crossmatch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Antibody Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Cryptosporidium, Antigen Detection . . . . . . . . . . . . . . . . .9
Anti-dsDNA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Crystal Screening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Anti-HBc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 CSF Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Anti-HIV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 D-dimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Waived methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Dermatophyte Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Anti-RNP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Differential, Automated . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Anti-RNP/Sm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Digoxin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Anti-Sm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Drug Screen, Urine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Anti-SSA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Eosinophils Nasal (PPM) . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 16
Anti-SSB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Estradiol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Anti-SSA/SSB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Fecal Leukocytes (PPM) . . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 16
Anti-Streptolysin O (ASO) . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Fecal Occult Blood . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 15
Antibody Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Fecal Suspension, parasitology . . . . . . . . . . . . . . . . . . . . . .9
Antimicrobial Susceptibility Testing . . . . . . . . . . . . . . . . .8 Fern Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 16
Antinuclear Antibody (ANA) . . . . . . . . . . . . . . . . . . . . . . . .10 Ferritin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Apolipoprotein A1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Fetal Membrane Rupture Test . . . . . . . . . . . . . . . . . . . . . . . . . .7
Apolipoprotein B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Fibrinogen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
AST (SGOT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15 Fluid Cell Count . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Beta (β)-lactamase Testing . . . . . . . . . . . . . . . . . . . . . . . . . . .8, 9 Folate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Beta (β)-2 Microglobulin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Fructosamine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Bilirubin, Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15 FSH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Bilirubin, Direct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 13 Gardnerella, Affirm VPIII (DNA) . . . . . . . . . . . . . . . . . . . . .9
Bilirubin, Neonatal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 GC (EIA/DNA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Blood Cell Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Genital Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8, 9
Blood Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Gentamicin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Blood Gases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 GGT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15
Blood Oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Giardia lamblia, Antigen Detection . . . . . . . . . . . . . . . . . .9
Blood Smear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Glucose, serum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12
BNP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Waived methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 15, 16
C-Peptide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Whole blood methods . . . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 16
CA 125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Glycohemoglobin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13, 16
CA 15-3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Gram stain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
CA 19-9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 HAV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
CA 27-29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 HbeAg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Calcium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15 HbsAb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Calcium, Ionized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 13, 16 HbsAg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Candida, Affirm VPIII(DNA) . . . . . . . . . . . . . . . . . . . . . . . . . . .9 hCG, serum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Carbamazepine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 hCG, urine (waived methods) . . . . . . . . . . . . . . . . . . . . .7, 14, 15
Carboxyhemoglobin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 HCV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Cardiac panel/markers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 HDL Cholesterol . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15
CBC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Hematocrit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5, 7, 11, 14, 15
CEA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Waived methods . . . . . . . . . . . . . . . . . . . . . . . . . . . .5, 7, 14, 15

2 www.acponline.org/mle Medical Laboratory Evaluation 2011


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

Hemoglobin . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5, 7, 11, 14, 15 Provider-Performed Microscopy (PPM) . . . . . . . . . . . . .7, 14, 16


Waived methods . . . . . . . . . . . . . . . . . . . . . . . . .5, 7, 14, 15, 16 PSA, Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Hemoglobin A1C (Glycohemoglobin) . . . . . . . . . . . . . . . . .13, 16 PSA, Free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Hepatic Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 PVA Slide, parasitology . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Homocysteine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 QBC Hematology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
H. pylori, Antibody Detection . . . . . . . . . . . . . . . . . . . . . . .11, 15 RBC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
i-STAT Chemistry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Respiratory Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Waived cartridge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 16 Reticulocyte Count . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
IgA, Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Rheumatoid Factor (RA) . . . . . . . . . . . . . . . . . . . . . . . . .9, 10
IgE, Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Rh Factor (D Type) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
IgG, Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Rotavirus, Antigen Detection . . . . . . . . . . . . . . . . . . . . . . . .9
IgM, Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 RSV, Antigen Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Infectious Mononucleosis . . . . . . . . . . . . . . . . . . . . . . . . .9, 10
Waived methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 15
Waived methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10, 15
Rubella . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Influenza A, Antigen Detection . . . . . . . . . . . . . . . . . . . . . . .9
Salicylate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Waived methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 15
Sedimentation Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6, 15
Influenza B, Antigen Detection . . . . . . . . . . . . . . . . . . . . . .9
Sodium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 13, 15, 16
Waived methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 15
Sperm (PPM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 16
Influenza A/B Combo, Antigen Detection . . . . . . . . . . . . . .9
Stool Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Waived methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 15
Insulin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Strep A, Antigen Detection . . . . . . . . . . . . . . . . . . . . . . . . . .8
Iron . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Waived methods . . . . . . . . . . . . . . . . . . . . . . . . . . . .7, 8, 14, 15
KOH Vaginal Prep (PPM) . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 16 Strep pneumoniae, Antigen Detection . . . . . . . . . . . . . . . .9
KOH Skin Prep (Slides) . . . . . . . . . . . . . . . . . . . . . . . . . .7, 9, 16 Syphilis Serology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
LDH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 T3, Free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
LDL Cholesterol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 T3, Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Legionella, Antigen Detection . . . . . . . . . . . . . . . . . . . . . . . .9 T3, Uptake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
LH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 T4, Free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Lipase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 T4, Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Lipid Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Testosterone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Lithium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Theophylline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Lyme Disease Serology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Throat Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Magnesium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Thyroglobulin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Methemoglobin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Thyroglobulin antibody . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Microalbumin, quantitative . . . . . . . . . . . . . . . . . . . . . . . . .7, 15 Thyroid Microsomal antibody . . . . . . . . . . . . . . . . . . . . . . . . . .13
Microalbumin, urine dipstick . . . . . . . . . . . . . . . . . . . . . . . .7, 15 Thyroid Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
MRSA Screening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 TIBC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Mycoplasma, IgG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Transferrin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Myoglobin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Trichomonas, Affirm VPIII (DNA) . . . . . . . . . . . . . . . . . . . . . . .9
Nasal Eosinophils (PPM) . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 16 Triglyceride . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15
NT-pro BNP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Troponin I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
O2 Saturation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Troponin T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Occult Blood, Fecal . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 15
TSH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Oxyhemoglobin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Tumor Markers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Parasitology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
UIBC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Parathyroid hormone (PTH) . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Urea Nitrogen (BUN) . . . . . . . . . . . . . . . . . . . . . .11, 12, 15, 16
Partial Thromboplastin Time (APTT) or (PTT) . . . . . . . .6
Uric Acid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15
pCO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Urine Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
pH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Urine Dipstick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 15
Phenobarbitol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Phenytoin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Urine Drug Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Phosphorus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15 Urine hCG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 15
Pinworms (PPM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 16 Urine Sediment Identification . . . . . . . . . . . . . . . . . . . .7, 14, 16
Platelet Count . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Valproic Acid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
pO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Vancomycin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Potassium . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 13, 15, 16 Viral Markers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Progesterone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Vitamin B12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Prolactin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Vitamin D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Protein, Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11, 12, 15 WBC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Prothrombin Time (PT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Waived and PPM package . . . . . . . . . . . . . . . . . . . . . . . .7, 14, 16
Whole blood methods (non-waived) . . . . . . . . . . . . . . . . .6 Wet Mount Preparations (PPM) . . . . . . . . . . . . . . . . . . .7, 14, 16
Waived methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6, 15 Wound Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Medical Laboratory Evaluation 2011 www.acponline.org/mle 3


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

Overview
An essential tool for quality improvement, Proficiency Testing (PT) was originally developed as an educational tool to help
laboratories investigate internal procedural problems and take corrective action to minimize the effect on patient results.
Today, PT is the standard of competency most heavily weighed by regulatory inspectors. MLE’s Proficiency Testing (PT)
program is designed for easy access, simple performance, and clear reporting.
PT is the practice of testing specimens of unknown values sent from an outside source. After submitting your test results, you receive
data that compare your laboratory’s performance with that of other labs that did the same procedures on the same specimens.
All tests in the MLE Program are included in the same shipment. Ordering information and instructions start on page 19.

Our Guarantee
If a specimen is missing, leaking, broken, not labeled, hemolyzed, or crushed, and you contact
us within three (3) working days of receipt of your kit, we will provide a replacement for the
specimen(s) FREE of charge (limited to material availability) or your lab will receive a grading
exception for that test.

H o w M L E Wo r k s

1 2 3 4 5 6 7 8
MLE Order Order Program Kit Test Data Evaluation
Catalog Form Verification Guide Shipments Completion Processing Distribution

1 MLE sends you a catalog to review ordering 5 MLE sends you scheduled shipments of test kits
options. which include specimens to analyze in the same
way that you regularly test patient specimens.
2 You complete an online or hard copy order form
(page 24) and return it to MLE for processing. 6 Upon completion of the testing, you submit
your results online or mail to MLE for evaluation.
3 MLE processes your order and sends you
an Order Verification for your review and 7 MLE performs statistical compilation of all
approval. This is your proof of enrollment. participants’ results.

8 MLE mails or e-mails you an evaluation report,


4 Approximately two weeks prior to the upcoming
graded according to regulatory requirements,
shipment, MLE sends you a program guide to
that compares your performance with that of
prepare for your first testing event.
other laboratories that used similar methods
and instruments.

4 www.acponline.org/mle Medical Laboratory Evaluation 2011


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

Hematology 224 Sysmex with 3-part Differential . . . . . . . . . . . . . .$213


Compatible with Sysmex 3-part automated differential
Note: Module descriptions within each category are NOT listed
instruments only.
in numerical order. They are grouped by the type of test. Five challenges each.
Please pay close attention to instrument compatibility Hemoglobin RBC
notes when selecting hematology modules. Hematocrit Platelet Count
Questions? Contact MLE Customer Service. WBC Automated Differential
See Table below or see “Hematology Instrument List”
online at www.acponline.org/mle/enroll.htm 225 Hematology with 3-part Differential . . . . . . . . . .$237
and scroll to “Forms.” Compatible with most 3-part differential instruments.
Sysmex users see module 224.
5-part Differential Recommended Five challenges each.
Instrument(s) Module Hemoglobin WBC
Hematocrit Platelet Count
ABX Pentra series 228
RBC Automated Differential
CELL-DYN 3000-3700, 4000 223
CELL-DYN Ruby and Sapphire 223 226 Hematology with 5-part Differential . . . . . . . . . .$294
COULTER AcT 5diff 228 Compatible with most Beckman–Coulter 5-part
differential instruments EXCEPT for the AcT 5diff
COULTER GenS, HmX, MAXM,
(see module 228).
LH series 226
Five challenges each.
Sysmex X-series 229
Hemoglobin RBC
Hematocrit Platelet Count
210 Hematology Module . . . . . . . . . . . . . . . . . . . . . .$198 WBC Automated Differential
Includes 211 and 230.
227 QBC Hematology . . . . . . . . . . . . . . . . . . . . . . . .$294
211 Basic Hematology . . . . . . . . . . . . . . . . . . . . . . . .$186 Compatible with Becton Dickinson QBC instruments
Five challenges each. including models with 2-part differential.
Hemoglobin RBC Five challenges each.
Hematocrit Platelet Count Hemoglobin Platelet Count
WBC Hematocrit Lymphocytes/Monocytes
WBC Granulocytes
212 Hemoglobin/Hematocrit . . . . . . . . . . . . . . . . . . .$165
Five challenges each. 228 Hematology with 5-part Differential . . . . . . . . . .$294
Compatible with Beckman Coulter AcT 5diff and ABX
213 Hemoglobin/Hematocrit—Waived . . . . . . . . . . . .$120 Pentra 5-part differential instruments.
For waived methods only. Five challenges each.
Two challenges each. Hemoglobin RBC
Hematocrit Platelet Count
WBC Automated Differential
215 Hemoglobin/Glucose . . . . . . . . . . . . . . . . . . . . . .$138
For HemoCue only. 229 Sysmex with 5-part Differential . . . . . . . . . . . . . .$294

Two challenges each. Compatible with most Sysmex 5-part differential


instruments only.

223 Hematology with 5-part Differential . . . . . . . . . .$294 Five challenges each.


Compatible with most Abbott CELL-DYN 5-part Hemoglobin WBC
differential instruments only. Hematocrit Platelet Count
RBC Automated Differential
Five challenges each.
Hemoglobin RBC
Hematocrit Platelet Count
WBC Automated Differential

Medical Laboratory Evaluation 2011 CAP-approved analytes/modules www.acponline.org/mle 5


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

230 Blood Cell Identification (Add-On) . . . . . . . . . . . .$27


Same as 231.
Coagulation
Only available with 211 through 229.
Five challenges consisting of color photographs. See Table for assistance in selecting a whole blood
coagulation module. If you have questions
231 Blood Cell Identification . . . . . . . . . . . . . . . . . . . .$90
please contact MLE Customer Service.
Stand-alone module.
Five challenges consisting of color -Whole blood Pro Time
photographs.
Recommended
Instrument(s) Module
240 Reticulocyte Count . . . . . . . . . . . . . . . . . . . . . . .$186
Roche CoaguChek XS NONE available
Compatible with automated and manual reticulocyte
counting methods. Not for use with brilliant cresyl
Roche CoaguChek
blue staining methods. XS Plus–NOT for the XS model 330 / 331
Two challenges. INRatio Monitor NONE available
i-STAT 328
247 Sedimentation Rate . . . . . . . . . . . . . . . . . . . . . . .$147
ITC Pro Time
Two challenges.
Microcoagulation System 329
248 Sedimat 15 ESR . . . . . . . . . . . . . . . . . . . . . . . . . .$147
Compatible with the Polymedco Sedimat 15 320 Coagulation Module . . . . . . . . . . . . . . . . . . . . . .$165
instrument only. Requires 1-mL pipette (see item 121 on page 16).
Two challenges. Five challenges each.
250 Fluid Cell Count/Crystals . . . . . . . . . . . . . . . . . . .$144 Prothrombin Time Fibrinogen
Partial Thromboplastin Time
For Hemocytometer cell count and manual detection
and identification of crystals. 321 Prothrombin Time . . . . . . . . . . . . . . . . . . . . . . .$156
Two challenges each. Requires 1-mL pipette (see item 121 on page 16).
WBC Count RBC Count Five challenges.
Crystal Screening
330 CoaguChek XS Plus Prothrombin Time . . . . . . . .$192
Blood Bank For CoaguChek XS Plus only.
Five challenges.
NEW! NEW!
450 Rh Factor (D Type) . . . . . . . . . . . . . . . . . . . . . . . .$225
For Slide Methods ONLY. 331 CoaguChek XS Plus – Waived . . . . . . . . . . . . . . .$111
For CoaguChek XS Plus Only.
Five challenges.
Two challenges.
451 ABO & Rh Factor (D Type) . . . . . . . . . . . . . . . . . .$276
328 i-STAT Prothrombin Time . . . . . . . . . . . . . . . . . . .$225
Not for use with slide methods.
Compatible with the i-STAT instrument only.
Five challenges each.
Five challenges.
452 Blood Bank 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .$540
329 ITC Pro Time System—Waived . . . . . . . . . . . . . .$129
Not for use with slide methods.
For ITC ProTime Microcoagulation System only.
Five challenges each.
Two challenges.
ABO Group Rh Factor (D Type)
Antibody Detection

453 Blood Bank 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . .$567


Not for use with slide methods.
Five challenges each.
ABO Group Compatibility Testing
Rh Factor (D Type) (Crossmatch)
Antibody Detection Antibody Identification

6 www.acponline.org/mle CAP-approved analytes/modules Medical Laboratory Evaluation 2011


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

Urinalysis 540 Urine hCG (Add-On) . . . . . . . . . . . . . . . . . . . . . . .$21


Same as 541.
Only available with 530, 531.
530 Urinalysis Module . . . . . . . . . . . . . . . . . . . . . . . . $84 One challenge.
Includes 531 and 532.
541 Urine hCG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$63
531 Urinalysis Dipstick . . . . . . . . . . . . . . . . . . . . . . . .$66 Stand-alone module.
hCG not included. One challenge.
One challenge each.
Bilirubin pH 550 AmniSure Fetal Membrane Rupture Test . . . . . . .$249
Blood/Hemoglobin Protein For use with the AmniSure ROM Test kit only.
Nitrite Specific Gravity One challenge.
Glucose Microalbumin
Ketones (dipstick only)
Urobilinogen Leukocyte Esterase
901 Waived and PPM Package . . . . . . . . . . . . . . . . . .$196
532 Urine Sediment Identification . . . . . . . . . . . . . . . $90 Number of challenges noted in parentheses.
Two challenges consisting of color Fecal Occult Blood* (2) Urinalysis (1)
photographs. Hemoglobin (2) Urine hCG (1)
Hematocrit (2) Urine Sediment (2)
533 Urine Sediment Identification (Add-On) . . . . . . . .$18 PPM (6) Strep A Antigen
Whole Blood Glucose (2) Detection (2)
Same as 532. Only available with 531, 534.
*Fecal occult blood testing not required by CAP.
Two challenges consisting of color
photographs.

536 Microalbumin (Add-On) . . . . . . . . . . . . . . . . . . . . .$72


Same as 539. Only available with 530, 531, 541. Provider-Performed
539 Microalbumin . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$87
Microscopy
Stand-alone module.
One challenge each. 534 Provider-Performed Microscopy (PPM) . . . . . . . . .$93
Microalbumin, Creatinine Color photographs depicting microscopic fields for the
quantitative examination of Vaginal Wet Mount Preparations,
Vaginal KOH Preparations, Nasal Eosinophils, Fecal
537 Fecal Occult Blood (Add-On) . . . . . . . . . . . . . . . . .$66 Leukocytes, Pinworms, Sperm, and FERN testing.
Same as 542. Urine sediment identification not included.
Only available with 530, 531, 532, 534. Six challenges.
Two challenges.
535 Provider-Performed Microscopy (PPM)—Add-On .$21
542 Fecal Occult Blood . . . . . . . . . . . . . . . . . . . . . . . $84 Same as 534. Only available with 530, 531, 532.
Stand-alone module.
Designed to allow the reporting and evaluation of 538 KOH Slides . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$120
results for as many as four different testing locations Two fixed glass slides for determining the presence or
or personnel. absence of fungal elements in skin scrapings.
Two challenges. Two challenges.

Medical Laboratory Evaluation 2011 CAP-approved analytes/modules www.acponline.org/mle 7


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

Microbiology 648 Colony Count* . . . . . . . . . . . . . . . . . . . . . . . . . . .$177


*This module is for Colony Count ONLY!
No presumptive identification may be submitted for
this module.
The specimens included may contain dangerous pathogens For presumptive identification, order module 647.
and must be treated with extreme care. These specimens
Two challenges.
must be handled and disposed of only by personnel
trained to work with pathogenic microorganisms.
649 Urine Presumptive ID/Strep A Antigen
Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$273
630 Bacteriology 1 . . . . . . . . . . . . . . . . . . . . . . . . . . .$255 Best suited for urine paddle-dipping methods.
Consists of each of the following: Presumptive Colony Count (2)
Urine Culture (1) Gram Stain (1) Identification (2) Antimicrobial
Throat Culture (1) Antimicrobial Gram Stain (1) Susceptibility Testing (1)
Genital Culture (1) Susceptibility Testing (1) (directly from Strep A Antigen
Plus, an additional three challenges will also be pro- sample provided) Detection (5)
vided from the following sources: blood, CSF, wound,
respiratory, and/or stool for a total of 6 cultures. 652 Urine Presumptive ID/Throat Culture . . . . . . . . .$288
(not CAP-approved for miscellaneous cultures) Best suited for urine paddle-dipping methods.
Presumptive Colony Count (2)
640 Bacteriology 2 . . . . . . . . . . . . . . . . . . . . . . . . . . .$249 Identification (2) Antimicrobial
Urine Culture (2) Strep A Antigen Gram Stain (1) Susceptibility Testing (1)
Throat Culture (2) Detection (1) (directly from Throat Culture (3)
Gram Stain (1) Antimicrobial sample provided)
Genital Culture (1) Susceptibility Testing (1)
650 Gram Stain . . . . . . . . . . . . . . . . . . . . . . . . . . . . $153
643 Urine Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . .$249 Five fixed glass slides.
Urine Culture (5) Gram Stain (1) Five challenges.
Antimicrobial
Susceptibility Testing (1) 641 Throat Culture . . . . . . . . . . . . . . . . . . . . . . . . . .$240
Not suitable for Strep A kits. Appropriate for determin-
644 Urine Culture/Strep A Antigen Detection . . . . . .$249
ing the presence or absence of group A streptococcus.
Urine Culture (2) Strep A Antigen
Gram Stain (1) Detection (3)
Five challenges.
Antimicrobial
Susceptibility Testing (1) 642 Throat Culture/Strep A Antigen Detection . . . . .$243
Throat Culture (2) Strep A Antigen
645 Urine/Throat Culture . . . . . . . . . . . . . . . . . . . . . .$249 Detection (3)
Urine Culture (3) Throat Culture (2)
Gram Stain (1) Antimicrobial 660 Strep A Antigen Detection . . . . . . . . . . . . . . . . $147
Susceptibility Testing (1) For Strep A Antigen Detection kits only.
Five challenges.
647 Urine Presumptive ID/Colony Count . . . . . . . . . .$288
Best suited for paddle-dipping methods. 662 Strep A Antigen Detection—Waived . . . . . . . . . . $87
Presumptive Colony Count (2) For waived Strep A Antigen Detection kits only.
Identification (5) Antimicrobial
Gram Stain (1) Susceptibility Testing (1)
Two challenges.

646 Genital Culture . . . . . . . . . . . . . . . . . . . . . . . . . .$240


Genital Culture (5) Gram Stain (1)
Beta (β)-Lactamase Testing,
when applicable

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2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

654 Genital Culture (Add-On) . . . . . . . . . . . . . . . . . .$100 681 Respiratory Antigen Detection . . . . . . . . . . . . . .$249
Same as 646. Only available with 641 through 645, Five challenges each.
647, 649, 650, 652, 660, 670. Influenza A Influenza A/B Combo
Two challenges. Influenza B RSV

668 Affirm VP III (DNA) . . . . . . . . . . . . . . . . . . . . . . .$354 682 C. difficile/Rotavirus Antigen Detection . . . . . . .$222
Five challenges each. Five challenges each.
Candida sp. Trichomonas vaginalis C. difficile Toxin/ Rotavirus
Gardnerella vaginalis Common Antigen

670 Chlamydia (EIA, DNA) . . . . . . . . . . . . . . . . . . . . .$279 683 Giardia lamblia/Cryptosporidium Antigen


Five challenges. Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$279
Five challenges each.
675 Chlamydia/GC (EIA, DNA) . . . . . . . . . . . . . . . . . .$306 Cryptosporidium Giardia lamblia
Five challenges each.
Chlamydia trachomatis Neisseria gonorrhoeae 686 Legionella Antigen Detection . . . . . . . . . . . . . . .$183
For use with the Binax NOW Legionella Urinary
673 Chlamydia (EIA, DNA)—Add-On . . . . . . . . . . . . .$117 Antigen Detection kits only.
Same as 670. Only available with 630 through 647, Five challenges.
649, 650, 652, 660.
Two challenges. 687 Streptococcus pneumoniae Antigen Detection . .$183
For use with the Binax NOW Streptococcus pneumoniae
Note Urinary Antigen Detection kit only.
• Federal law requires a minimum of five non-waived Five challenges.
bacteriology challenges per shipment. Individual state
laws may differ. When enrolling, confirm your state’s 690 Parasitology . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$222
requirements and place your order accordingly. Provides five challenges from among the following:
• All urine culture specimens are suitable for pre- PVA Slide (for permanent stain), Fecal Suspension
sumptive identification (ie, growth/no growth, (direct wet mount examination for ova and parasites),
Gram stain interpretation) and/or definitive identifi- Blood Smear for Parasites.
cation (ie, genus and/or species).
• The number of challenges is noted in parentheses. 695 MRSA Screening . . . . . . . . . . . . . . . . . . . . . . . . .$237
Screening for the prescence or absence of methicillin-
resistant Staphylococcus aureus only.
678 Dermatophyte Screen . . . . . . . . . . . . . . . . . . . . .$159
Appropriate for determining the presence or absence
Five challenges.
of dermatophytes.
Two challenges.
Immunology
538 KOH Slides . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$120
Two fixed glass slides for determining the presence or 750 Immunology Module . . . . . . . . . . . . . . . . . . . . . .$234
absence of fungal elements in skin scrapings. Five challenges each.
Two challenges. Infectious Mononucleosis Anti-Streptolysin O
Rheumatoid Factor (ASO)
680 Respiratory Antigen Detection—Waived . . . . . . .$156
Two challenges each. 751 Rheumatology Module . . . . . . . . . . . . . . . . . . . .$159
Influenza A Influenza A/B Combo Five challenges each unless otherwise
Influenza B RSV noted in parentheses.
C-Reactive Protein (2) Rheumatoid Factor
Not for high-sensitivity methods

Medical Laboratory Evaluation 2011 CAP-approved analytes/modules www.acponline.org/mle 9


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

755 Infectious Mononucleosis—Waived . . . . . . . . . . . .$90 767 Antinuclear Antibody (ANA) . . . . . . . . . . . . . . . .$153


For waived Infectious Mononucleosis kits only. For ELISA and Immunofluorescence methods ONLY.
Two challenges. Five challenges.

762 Infectious Mononucleosis . . . . . . . . . . . . . . . . . .$156 779 Antinuclear Antibody (ANA)-Add-On . . . . . . . . . .$96


Five challenges. Same as 767.
For ELISA and Immunofluorescence methods ONLY.
761 Infectious Mononucleosis/Rheumatoid Factor . . .$219 Only available with 751.
Includes 762 and 763. Five challenges.
Five challenges each.
782 ANA Expanded . . . . . . . . . . . . . . . . . . . . . . . . . .$204

763 Rheumatoid Factor . . . . . . . . . . . . . . . . . . . . . . .$156 For ELISA and IFA methods ONLY.
Five challenges. Five challenges each.
ANA Anti-SSA
764 C-Reactive Protein (CRP) . . . . . . . . . . . . . . . . . . . .$90 Anti-dsDNA Anti-SSB
Anti-RNP Anti-SSA/SSB
Not for high-sensitivity methods.
Anti-RNP/Sm Anti-Sm
Two challenges.
783 ANA Expanded (Add-On) . . . . . . . . . . . . . . . . . .$147
776 C-Reactive Protein (CRP)—Add-On . . . . . . . . . . . .$45 Same as 782. Only available with 751.
Not for high-sensitivity methods. For ELISA and IFA methods ONLY.
Only available with 750.
NEW!
Two challenges. 784 Complement/Immunoglobulins . . . . . . . . . . . . . .$186
Five challenges each.
765 High-Sensitivity C-Reactive Protein (HS-CRP) . . . .$93
C3 IgG, Total
Two challenges. C4 IgM, Total
IgA, Total
777 High-Sensitivity C-Reactive Protein
(HS-CRP)—Add-On . . . . . . . . . . . . . . . . . . . . . . . .$48 771 Rubella . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$153
Only available with 750, 751. Five challenges.
Two challenges.
772 Syphilis Serology . . . . . . . . . . . . . . . . . . . . . . . . .$168
766 Antinuclear Antibody (ANA) . . . . . . . . . . . . . . . .$147 RPR ONLY.

For Latex methods ONLY. Five challenges.


Five challenges.
770 Specific Allergen Testing . . . . . . . . . . . . . . . . . . .$315
Number of challenges noted in parentheses.
778 Antinuclear Antibody (ANA)—Add-On . . . . . . . . .$90
Includes 2 sets of samples for large volume requirements.
Same as 766.
Does not include Total IgE.
For Latex methods ONLY. Only available with 751.
Allergen Specific IgE (14)
Five challenges.
773 Diagnostic Allergy . . . . . . . . . . . . . . . . . . . . . . . .$315
Number of challenges noted in parentheses.
Allergen Specific IgE (14) Total IgE (5)

774 Lyme Disease Serology . . . . . . . . . . . . . . . . . . . .$201


Two challenges.
Anti-Borrelia burgdorferi

10 www.acponline.org/mle CAP-approved analytes/modules Medical Laboratory Evaluation 2011


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

775 Viral Markers . . . . . . . . . . . . . . . . . . . . . . . . . . . .$468 812 Piccolo Waived Chemistry . . . . . . . . . . . . . . . . . .$186


Five challenges each. For the Abaxis Piccolo Instrument—waived cartridges
HbsAb HbsAg ONLY.
Anti-HIV HbeAg Two challenges each.
HAV Anti-HBc Albumin CO2 Potassium
HCV Alkaline Phosphatase Creatine Kinase Sodium
ALT (SGPT) (CK) Total Bilirubin
780 H. pylori Antibody Detection . . . . . . . . . . . . . . .$135 Amylase Creatinine Total Protein
AST (SGOT) GGT Triglyceride
For waived and non-waived methods.
Calcium Glucose Urea Nitrogen
Two challenges. Chloride HDL Uric Acid
Cholesterol Phosphorus
781 Mycoplasma . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$117
IgG only. 817 i-STAT Chemistry 1 . . . . . . . . . . . . . . . . . . . . . . . .$300
Two challenges. Five challenges
For i-STAT analyzer only. Includes 818 and 847.
790 Anti-HIV—Waived . . . . . . . . . . . . . . . . . . . . . . . .$132 See modules 818 and 847 for CAP-approved analytes.
For waived HIV kits only.
Two challenges. 818 i-STAT Chemistry 2 . . . . . . . . . . . . . . . . . . . . . . . .$210

Anti-HIV1 Anti-HIV 1/2 For i-STAT analyzer only.


Five challenges each.
791 Anti-HIV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$300 Chloride Hemoglobin
Five challenges. CO2 Ionized Calcium
Creatinine Potassium
Anti-HIV1 Anti-HIV 1/2
Glucose Sodium
Hematocrit Urea Nitrogen

Chemistry 832 i-STAT Chemistry—Waived . . . . . . . . . . . . . . . . . .$141


For i-STAT analyzer (Waived cartridges only).
Two challenges each.
Chemistry Ordering Tips
Chloride Hemoglobin
• If you perform chemistry panels designed to match CO2 Ionized Calcium
CPT panels, see modules 813 through 816, which are Creatinine Potassium
configured to match CPT profiles. Glucose Sodium
• If you use the i-STAT instrument, select modules 817, Hematocrit Urea Nitrogen
818, or 832 which are specifically for i-STAT instruments.
810 Chemistry Module . . . . . . . . . . . . . . . . . . . . . . . .$306
Please pay close attention to instrument compatibility
notes when selecting any of the chemistry modules. Includes 821, 822, 823, 825, 827, 842. CAP-approved
If you need further assistance, call MLE Customer for all analytes except LDL, TIBC, and UIBC.
Service at 1-800-338-2746, option 5, or e-mail us at Five challenges.
mle@acponline.org.
813 Comprehensive Metabolic Panel . . . . . . . . . . . . .$228

811 Cholestech Waived Chemistry . . . . . . . . . . . . . . .$147 Includes 814, 816, 822. CAP-approved for all analytes
except D.bili, TIBC, and UIBC.
For the LDX Cholestech Instrument (Waived testing
ONLY). Five challenges.
Two challenges each.
814 Basic Metabolic Panel . . . . . . . . . . . . . . . . . . . . .$180
ALT (SGPT) Glucose
AST (SGOT) HDL Cholesterol Five challenges unless otherwise noted in
Cholesterol, Total Triglyceride parentheses.
Calcium Glucose
Chloride Potassium
CO2 (2) Sodium
Creatinine Urea Nitrogen

Medical Laboratory Evaluation 2011 CAP-approved analytes/modules www.acponline.org/mle 11


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

815 Hepatic Profile . . . . . . . . . . . . . . . . . . . . . . . . . . .$198 824 Thyroid Profile . . . . . . . . . . . . . . . . . . . . . . . . . . .$210


Five challenges each unless otherwise Five challenges each unless otherwise
noted in parentheses. noted in parentheses.
Albumin Direct Bilirubin (2) Cortisol Thyroxine (T4)
Alkaline Phosphatase Total Bilirubin Free T3 (2) Triiodothyronine (T3)
ALT (SGPT) Total Protein Free T4 TSH
AST (SGOT) T3 Uptake

816 Hepatic Profile (Add-On) . . . . . . . . . . . . . . . . . . . .$39 825 Thyroid Profile (Add-On) . . . . . . . . . . . . . . . . . . . .$48
Same as 815. Only available with 814, 819-821, 824, Same as 824. Only available with 813–815, 819–821,
826, 830. 826, 830.

819 Chemistry 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$174


826 Lipid Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$204
Five challenges each.
Five challenges each unless otherwise
Cholesterol, Total Urea Nitrogen noted in parentheses.
Glucose Potassium
Cholesterol, Total LDL Cholesterol (2)
820 Chemistry 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$204 HDL Cholesterol Triglyceride

Five challenges each unless otherwise


827 Lipid Profile (Add-On) . . . . . . . . . . . . . . . . . . . . . .$39
noted in parentheses.
Same as 826. Only available with 813-815, 819, 824, 830.
Total Bilirubin Glucose
Chloride Potassium
Cholesterol, Total Sodium 829 Apolipoproteins . . . . . . . . . . . . . . . . . . . . . . . . . .$114
CO2 (2) Urea Nitrogen Two challenges each.
Creatinine Uric Acid Apolipoprotein A1 Apolipoprotein B

821 Chemistry 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$234


830 Therapeutic Drug Monitoring . . . . . . . . . . . . . . .$204
Five challenges each unless otherwise Five challenges each.
noted in parentheses.
Acetaminophen Gentamicin Salicylate
Total Bilirubin LDL Cholesterol (2)
Amikacin Lithium Theophylline
Chloride Potassium
Carbamazepine Phenobarbital Valproic Acid
Cholesterol, Total Sodium
Digoxin Phenytoin Vancomycin
CO2 (2) Triglyceride
Creatinine Urea Nitrogen
831 Therapeutic Drug Monitoring (Add-On) . . . . . . . .$48
Glucose Uric Acid
HDL Cholesterol Same as 830. Only available with 810, 813–815,
819–821, 824, 826. Theophylline also CAP-approved in
822 Chemistry (Add-On) . . . . . . . . . . . . . . . . . . . . . . . .$39 this module.
Only available with 814, 815, 819-821, 824, 826, 830.
835 Serum Alcohol/Acetone . . . . . . . . . . . . . . . . . . . .$201
Five challenges each unless otherwise
noted in parentheses. Five challenges each.
Albumin Phosphorus (2) Alcohol Acetone
Calcium Total Protein
Iron TIBC 836 Ammonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$135
Magnesium UIBC Two challenges.
Uric Acid

823 Enzyme Chemistry (Add-On) . . . . . . . . . . . . . . . . .$39 841 Neonatal Bilirubin . . . . . . . . . . . . . . . . . . . . . . . .$192

Only available with 813, 814, 815, 819–821, 824, 826, 830. Number of challenges noted in parentheses.
Five challenges each unless otherwise Direct Bilirubin (2) Total Bilirubin (5)
noted in parentheses.
842 Direct Bilirubin (Add-On) . . . . . . . . . . . . . . . . . . . .$30
ALT (SGPT) Creatine Kinase (CK)
Alkaline Phosphatase GGT (2) Same as 843.
Amylase LDH Only available with 814, 819–821, 824, 826.
AST (SGOT) Lipase (2) Two challenges.

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2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

843 Direct Bilirubin . . . . . . . . . . . . . . . . . . . . . . . . . . .$90 857 Blood Oximetry (Add-On) . . . . . . . . . . . . . . . . . . .$96


Two challenges. Same as 856. Only available with 847.

845 Cardiac Markers . . . . . . . . . . . . . . . . . . . . . . . . .$168


859 PSA (Add-On) . . . . . . . . . . . . . . . . . . . . . . . . . . . .$42
Number of challenges noted in parentheses.
Same as 861. Only available with 860.
Requires 1 mL volumetric pipette (see item 121, p. 16).
CK-MB (5) Troponin T (2) 860 Endocrinology/Hematology/Oncology . . . . . . . .$180
Troponin I (2) Myoglobin (2)
Two challenges each.
846 BNP/NT-pro BNP . . . . . . . . . . . . . . . . . . . . . . . . .$183 CEA LH
Estradiol Progesterone
B-type Natriuretic Peptide
Ferritin Prolactin
Two challenges. Folate Testosterone
FSH Transferrin
848 Biosite Triage SOB Panel . . . . . . . . . . . . . . . . . . .$354 Homocysteine Vitamin B12
For Biosite Triage users only.
861 PSA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$99
Five challenges each.
Two challenges.
BNP Myoglobin
CK-MB Troponin I
D-dimer 862 Tumor Markers . . . . . . . . . . . . . . . . . . . . . . . . . .$357
Two challenges each.
847 Blood Gases . . . . . . . . . . . . . . . . . . . . . . . . . . . .$261 AFP CA 27-29
Compatible with the i-STAT analyzer as well as other Beta (β)-2 Microglobulin CEA
blood gas instruments. CA 125 Free PSA
Five challenges each unless otherwise CA 15-3 PSA
noted in parentheses. CA 19-9 Thyroglobulin

Chloride pO2
863 Endocrinology 2 . . . . . . . . . . . . . . . . . . . . . . . . .$159
Ionized Calcium (2) Potassium
pCO2 Sodium Lyophilized samples. 2 ml volumetric pipette required
pH for reconstitution.
Two challenges each.
850 Glycohemoglobin . . . . . . . . . . . . . . . . . . . . . . . .$156 C-Peptide Parathyroid hormone
NOT compatible with Afinion analyzer. Insulin (PTH)
For waived and non-waived methods. Vitamin D

Two challenges.
864 Thyroid Antibodies . . . . . . . . . . . . . . . . . . . . . . .$201

851 Afinion Glycohemoglobin . . . . . . . . . . . . . . . . . .$156 Two challenges each.


Two challenges. Thyroglobulin Antibody Thyroid Microsomal
Antibody (Anti-TPO)

855 Fructosamine . . . . . . . . . . . . . . . . . . . . . . . . . . . .$138


865 Serum hCG . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$153
NOT compatible with the LXN Test System.
Five challenges.
Two challenges.
866 Serum hCG (Add-On) . . . . . . . . . . . . . . . . . . . . . . .$75
856 Blood Oximetry . . . . . . . . . . . . . . . . . . . . . . . . . .$231 Same as 865. Only available with 810, 813, 814, 815,
Five challenges each. 819, 820, 821, 824, 826.

Carboxyhemoglobin Oxyhemoglobin
Hemoglobin, Total O2 Saturation
Methemoglobin

Medical Laboratory Evaluation 2011 CAP-approved analytes/modules www.acponline.org/mle 13


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

868 Urine Drug Screen . . . . . . . . . . . . . . . . . . . . . . . .$174


Two challenges each.
Waived Testing
For the qualitative detection of drugs in urine. 10ml each.
Each challenge will include one or more of the following:
Waived Testing—The Importance of
Acetaminophen Methadone
Performing Proficiency Testing
Amphetamines Methamphetamines
Barbiturates Methaqualone Certificate of Waiver (COW) laboratories must only perform
Benzodiazepines Morphine waived laboratory tests. When the Centers for Medicare
Buprenophrine Opiates & Medicaid Services (CMS) began random inspections of
Cannabinoids Oxycodone some COW laboratories in 2002, many laboratories chose to
Cocaine Metabolites Phencyclidine participate in proficiency testing as a quality assurance
check. MLE responded by preparing special two-sample
Ethanol Propoxyphene
proficiency modules, designed for the needs of the waived
MDMA Tricyclic Antidepressants
testing laboratory. Our custom selection of waived modules
appears on the following pages.
870 Whole Blood Glucose . . . . . . . . . . . . . . . . . . . . .$237
Designed to allow the reporting and evaluation of E-notification Service
results for as many as five different glucose analyzers.
A value-added service to enhance the quality and safety of
Five challenges. patient care. The e-mail notification service will provide
Class I and Class II recall information and field corrections
871 Whole Blood Glucose—Waived . . . . . . . . . . . . . .$135 pertaining to waived test devices.
For waived methods only.
Designed to allow the reporting and evaluation of Class I recalls are those that have a “probable risk
results for as many as five different glucose analyzers. of harm or death” to a patient if the items remain
Two challenges. in use. Class II recalls have a “significant risk of
harm” to a patient if they remain in use.

215 Glucose/Hemoglobin . . . . . . . . . . . . . . . . . . . . . .$138


In addition to the recall e-notification service, MLE provides:
For HemoCue only. • Notification of changes or additions to the CMS list
Two challenges each. of waived laboratory tests.
• A wide array of cost-saving Waived Testing Modules
880 Additional Chemistry Testing Material . . . . . . . . .$99 for continued quality assurance at a lower cost.
Includes all analytes in Chemistry Module 810 and • A reminder prompt for notifications involving
Therapeutic Drug Monitoring Module 830. It is the Microbiology tests, to ensure regulatory compliance
same material used in those modules and will be for any remaining non-waived analytes.
shipped to your laboratory at the same time as your To receive “E-Notify on Waived Tests” and the “Recalls and
regular Chemistry samples. You can use it as: Field Corrections: Devices—Class I and Class II” report,
send an e-mail to mle@acponline.org and request to be
• Extra PT material in case you have a problem and
added to the recipient list. In the e-mail request, be sure to
need extra testing material.
include your MLE ID number.
• A way to double-check unacceptable PT results after
corrective action.
• An educational tool to train personnel. The Best in Proficiency Testing, Now in a More
Convenient Package.
• A means to meet the CMS quality assurance
requirements for a second chemistry instrument.
901 Waived and PPM Package . . . . . . . . . . . . .$196
Number of challenges noted in
parentheses.
Fecal Occult Blood* (2) Urinalysis (1)
Hemoglobin (2) Urine hCG (1)
Hematocrit (2) Urine Sediment (2)
PPM (6) Whole Blood Glucose (2)
Strep A Antigen *Fecal occult blood
Detection (2) testing not required
by CAP.

14 www.acponline.org/mle CAP-approved analytes/modules Medical Laboratory Evaluation 2011


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

Hematology 542 Fecal Occult Blood . . . . . . . . . . . . . . . . . . . . . . . .$84


Designed to allow the reporting and evaluation of
results for as many as four different testing locations
213 Hemoglobin/Hematocrit . . . . . . . . . . . . . . . . . . .$120
or personnel.
For waived methods only. Two challenges.
Two challenges each.
Microbiology
215 Hemoglobin/Glucose . . . . . . . . . . . . . . . . . . . . . .$138
662 Strep A Antigen Detection—Waived . . . . . . . . . . .$87
For HemoCue only.
For waived methods only.
Two challenges each. Two challenges.

247 Sedimentation Rate . . . . . . . . . . . . . . . . . . . . . . .$147 680 Respiratory Antigen Detection—Waived . . . . . . .$156


Two challenges. Two challenges each.
Influenza A Influenza A/B Combo
Coagulation Influenza B RSV

Immunology
329 ITC ProTime System . . . . . . . . . . . . . . . . . . . . . .$129
For ITC ProTime Microcoagulation System only. 755 Infectious Mononucleosis—Waived . . . . . . . . . . . .$90

Two challenges. For waived methods only.


Two challenges.
NEW!
331 CoaguChek XS Plus – Waived . . . . . . . . . . . . . . .$111 780 H. pylori Antibody Detection . . . . . . . . . . . . . . .$135
For CoaguChek XS Plus Only. For waived and non-waived methods.
Two challenges. Two challenges.
790 Anti-HIV—Waived . . . . . . . . . . . . . . . . . . . . . . . .$132
Urinalysis For waived HIV kits only.
Two challenges.
531 Urinalysis Dipstick . . . . . . . . . . . . . . . . . . . . . . . . .$66 Anti-HIV1 Anti-HIV 1/2
hCG not included.
Chemistry
One challenge each.
811 Cholestech Waived Chemistry . . . . . . . . . . . . . . .$147
536 Microalbumin (Add-On) . . . . . . . . . . . . . . . . . . . . .$72
For the LDX Cholestech Instrument (Waived testing
Same as 539. Only available with 530, 531, 541. ONLY).
Two challenges each.
537 Fecal Occult Blood (Add-On) . . . . . . . . . . . . . . . . .$66 ALT (SGPT) Glucose
Same as 542. Only available with 530, 531, 532, 534. AST (SGOT) HDL Cholesterol
Cholesterol, Total Triglyceride
Two challenges.
812 Piccolo Waived Chemistry . . . . . . . . . . . . . . . . . .$186
539 Microalbumin . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$87 For the Abaxis Piccolo Instrument—Waived cartridges
One challenge each. ONLY.
Microalbumin, Creatinine Two challenges each.
quantitative Albumin CO2 Potassium
Alkaline Phosphatase Creatine Kinase Sodium
540 Urine hCG (Add-On) . . . . . . . . . . . . . . . . . . . . . . .$21 ALT (SGPT) Creatinine Total Bilirubin
Amylase GGT Total Protein
Same as 541.
AST (SGOT) Glucose Triglyceride
Only available with 530, 531. Calcium HDL Urea Nitrogen
One challenge. Chloride Phosphorous Uric Acid
Cholesterol
541 Urine hCG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$63
One challenge.

Medical Laboratory Evaluation 2011 CAP-approved analytes/modules www.acponline.org/mle 15


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

832 i-STAT Chemistry—Waived . . . . . . . . . . . . . . . . . .$141 126 Pipette Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . .$24


For i-STAT analyzer. Waived cartridges only. For use with product 121 above.
Two challenges each.
Chloride Glucose Ionized Calcium Services
Creatinine Hematocrit Potassium
CO2 Hemoglobin Sodium 107 Hard Copy of Participant Summary for the Year . .$15
Urea Nitrogen
108 Additional Program Binder . . . . . . . . . . . . . . . . . .$15
850 Glycohemoglobin . . . . . . . . . . . . . . . . . . . . . . . .$156
For waived and non-waived methods. 116 Automatic Program Renewal . . . . . . . . . . . . . . . .FREE
Two challenges. Free yourself from re-enrollment/re-ordering hassles.
We’ll do it for you! To enroll, add module 116 to your
871 Whole Blood Glucose—Waived . . . . . . . . . . . . . .$135 order.

For waived methods only. Designed to allow the reporting


and evaluation of results for as many as “E-Notify”
five different glucose analyzers.
Notification of newly waived tests and FDA Recalls delivered
Two challenges.
to your e-mail account . . . . . . . . . . . . . . . . . . . .FREE
To sign up for “E-Notify,” send an e-mail to
215 Hemoglobin/Glucose . . . . . . . . . . . . . . . . . . . . . .$138
mle@acponline.org.
For HemoCue only.
Two challenges each. Web Data Entry System (WDES)

Provider-Performed Microscopy (PPM) Online Result Reporting Program . . . . . . . . . . . . . . . .FREE


To register or receive more information, send an e-mail
532 Urine Sediment Identification . . . . . . . . . . . . . . . .$90 to ptwebsupport@acponline.org.
Two challenges consisting of color photographs.
Off-Schedule Proficiency Testing
534 Provider-Performed Microscopy (PPM) . . . . . . . . .$93
Color photographs depicting microscopic fields for the Starts at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$200
examination of Vaginal Wet Mount Preparations, Vaginal Off-schedule proficiency testing (PT) provides laborato-
KOH Preparations, Nasal Eosinophils, Fecal Leukocytes, ries with immediate, on-demand, customized proficiency
Pinworms, Sperm, and FERN testing. testing for reinstatement or remedial purposes; a comple-
Urine sediment identification not included. ment to the regularly scheduled PT program.
Six challenges.
Who Needs Off-Schedule Testing?
538 KOH Slides . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$120 • Laboratories with unsuccessful performance (score of less
than 80%) for two out of three regular testing events may
Two fixed glass slides for determining the presence or
be required to perform off-schedule PT to lift a “cease-
absence of fungal elements in skin scrapings.
testing” order from their regulatory or accrediting agency.
Two challenges. In these cases, two acceptable proficiency performances
(score of 80% or better) may be required for the lab to
resume testing patients.
Lab Supplies & Services • Some laboratories use off-schedule PT to verify that
corrective actions were effective.
This service is available to every laboratory, regardless of
Supplies MLE enrollment status.
For information on cost and availability, contact MLE
121 Pipette—1mL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$20
Customer Service at 800-338-2746, option 5, or e-mail us at
For use with 320, 321, 845. Reusable Class A volumetric mle@acponline.org.
pipette required for reconstitution of lyophilized
proficiency testing specimens.

16 www.acponline.org/mle CAP-approved analytes/modules Medical Laboratory Evaluation 2011


Enroll and Save BIG!!!
College of American Pathologists (CAP)
Approved Tests for the MLE PT Program—As of April 16, 2010.
To download, visit: www.acponline.org/mle/cap.
HEMATOLOGY
Module 210 – Hematology Module * Module 225 – Hematology with 3-part Differential *
Module 211 – Basic Hematology * Module 226 – Hematology with 5-part Differential (DIF samples) *
Module 212 – Hemoglobin/Hematocrit * Module 228 – Hematology with 5-part Differential (BCX samples) *
Module 213 – Hemoglobin/Hematocrit (waived) * Module 230 – Blood Cell Identification (Add-On)
Module 215 – Hemoglobin/Glucose (Hemocue only) * Module 231 – Blood Cell Identification
Module 223 – Hematology with 5-part Differential (CL samples) * Module 240 – Reticulocyte Count
Module 224 – Sysmex with 3-part Differential * Note: Sedimentation rate is not required by CAP

COAGULATION
Module 328 – I-STAT Prothrombin Time – PT/INR Module 329 – ITC ProTime System (waived) – PT/INR

BLOOD BANK (IMMUNOHEMATOLOGY)


Module 451 – ABO & Rh Factor (D Type) – ABO/Rh Module 452 – Blood Bank 1 – ABO/Rh ONLY
Module 453 – Blood Bank 2 – ABO/Rh ONLY

URINALYSIS
Module 530 – Urinalysis Module * Module 539 – Microalbumin (Add-On) – Quantitative Microalbumin,
Module 531 – Urinalysis Dipstick * Creatinine (mg/dL) only
Module 532 – Urine Sediment Identification Module 540 – Urine hCG (Add-On)
Module 533 – Urine Sediment Identification (Add-On) Module 541 – Urine hCG
Module 536 – Microalbumin (Add-On) – Quantitative Microalbumin,
Creatinine (mg/dL) only
Note: Fecal Occult Blood not required by CAP
Module 901 – Waived and PPM Package
Hemoglobin Whole Blood Glucose Urine Sediment
Hematocrit Urinalysis Strep A Antigen Detection
PPM Urine hCG

PROVIDER-PERFORMED MICROSCOPY (PPM)


Module 534 – Provider-Performed Microscopy (PPM) *
Module 535 – Provider-Performed Microscopy (PPM) (Add-On) *

MICROBIOLOGY
Module 630 – Bacteriology 1
Urine Culture Genital Culture AMS
Throat Culture Gram Stain

Module 640 – Bacteriology 2 * Module 645 – Urine/Throat Culture *


Module 643 – Urine Culture * Module 647 – Urine Presumptive ID/Colony count *
Module 644 – Urine Culture/Strep A Antigen Detection * Module 648 – Colony Count *
Module 649 – Urine Presumptive ID/Strep A Antigen Detection
Presumptive Identification Colony Count Strep A Antigen Detection

Module 652 – Urine Presumptive ID/Throat Culture


Presumptive Identification Colony Count Throat Culture

Module 650 – Gram Stain Module 660 – Strep A Antigen Detection


Module 641 – Throat Culture Module 662 – Strep A Antigen Detection (waived)
Module 642 – Throat Culture/Step A Antigen Detection *

Module 646 – Genital Culture


Genital Culture Gram Stain

Module 654 – Genital Culture (Add On)


Genital Culture Gram Stain

Module 668 – Affirm VP III (DNA)


Candida sp. Gardnerella vaginalis

Module 670 – Chlamydia (EIA, DNA) Module 681 – Respiratory Antigen Detection *
Module 673 – Chlamydia (EIA, DNA) (Add On) Module 682 – C. difficile/Rotavirus Antigen Detection *
Module 675 – Chlamydia/GC (EIA, DNA) * Module 683 – Giardia lamblia/Cryptosporidium Antigen Detection *
Module 680 – Respiratory Antigen Detection (waived) * Module 686 – Legionella antigen Detection
*All analytes in module approved. Module 687 – Streptococcus pneumonia Antigen detection

Medical Laboratory Evaluation 2011 www.acponline.org/mle 17


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

IMMUNOLOGY
Module 750 – Immunology Module
Infectious Mononucleosis Rheumatoid Factor
Module 751 – Rheumatology Module * Module 767 – Antinuclear Antibody (ANA) (ELISA)
Module 755 – Infectious Mononucleosis (waived) * Module 779 – Antinuclear Antibody (ANA) (Add On) (ELISA)
Module 761 – Infectious Mononucleosis/Rheumatoid Factor * Module 784 – Complement C3 and C4, Immunoglobulins
Module 762 – Infectious Mononucleosis Module 771 – Rubella
Module 763 – Rheumatoid Factor Module 772 – Syphilis Serology – RPR ONLY
Module 764 – C-Reactive Protein (CRP) Module 775 – Viral Markers
Module 776 – C-Reactive Protein (CRP) (Add On) Hepatitis B Surface Antibody Anti-HIV HCV
Module 765 – High-Sensitivity C-Reactive Protein (HS-CRP) Module 780 H. pylori Antibody Detection
Module 777 – High-Sensitivity C-Reactive Protein (HS-CRP) (Add On)

CHEMISTRY
Module 810 – Chemistry Module – All tests EXCEPT LDL, TIBC, and UIBC
Module 811 – Cholestech Waived Chemistry
Cholesterol, Total HDL Cholesterol Triglyceride
Module 812 – Piccolo Waived Chemistry
Albumin Chloride Potassium
Alkaline Phosphatase Cholesterol Sodium
ALT (SGPT) CO2 Total Bilirubin
AST (SGPT) Creatinine Total Protein
Calcium Glucose Triglyceride
HDL Cholesterol Urea Nitrogen
Module 819 – Chemistry 1 * Module 813 – Comprehensive Metabolic Panel * EXCEPT D. Bili, TIBC, and UIBC
Module 820 – Chemistry 2 * Module 814 – Basic Metabolic Panel *
Module 821 – Chemistry 3 * EXCEPT LDL Module 816 – Hepatic Profile (Add On) *
Module 822 – Chemistry (Add On) * EXCEPT TIBC, UIBC
Module 823 – Enzyme Chemistry (Add On) *
Module 817 – i-STAT Chemistry 1
Chloride Sodium From blood gas sample:
Creatinine Urea Nitrogen pH
Glucose Hematocrit PO2
Potassium Hemoglobin pCO2
Module 818 – i-STAT Chemistry 2 * EXCEPT CO2 and Ionized Calcium Module 826 – Lipid Profile * EXCEPT LDL
Module 824 – Thyroid Profile * Module 827 – Lipid Profile (Add on) * EXCEPT LDL
Module 825 – Thyroid Profile (Add on) *
Module 830 – Therapeutic Drug Monitoring
Carbamazepine Phenobarbital Valproic Acid
Digoxin Phenytoin
Module 831 – Therapeutic Drug Monitoring
Carbamazepine Phenobarbital Theophylline
Digoxin Phenytoin Valproic Acid
Module 841 – Neonatal Bilirubin * Module 847 – Blood Gases – pH, pO2, pCO2
Module 842 – Direct Bilirubin (Add On) Module 850 – Glycohemoglobin
Module 845 – Cardiac Markers * EXCEPT Troponin T Module 860 – Endocrinology/Hematology/Oncology * EXCEPT Transferrin
Module 848 – Biosite Triage SOB Panel * Module 861 – PSA
Module 846 – BNP/NT-pro BNP – ONLY BNP approved Module 859 – PSA (Add On)
Module 862 – Tumor Markers
Beta-2 Microglobulin CA 27-29 PSA
CA 125 CEA
CA 15-3 Free PSA
Module 863 – Endocrinology 2 – Parathyroid hormone (PTH) ONLY
Module 865 – Serum hCG
Module 866 – Serum hCG (Add On)
Module 868 – Urine Drug Screen
Amphetamines Ethanol Opiates
Barbiturates MDMA Phencyclidine
Benzodiazepines Methadone Propoxyphene
Cannabinoids Methamphetamines Tricyclic Antidepressants
Cocaine Metabolites Methaqualone
Module 870 – Whole Blood Glucose
Module 871 – Whole Blood Glucose (waived)
*All analytes in module approved.

18 www.acponline.org/mle Medical Laboratory Evaluation 2011


2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

6. Needing Assistance: What if I need help with my order,


testing, or regulations? Who can I turn to for immediate
service?

Frequently Asked Our friendly and knowledgeable MLE Customer Service


Representatives are available to assist with order selection, billing,
address/name changes, order changes, and regulatory information.
Questions Additionally, experienced laboratory professionals will guide you
through technical issues, interpretation of your results, and steps
necessary for corrective action.
1. Automatic Renewal Option: I do not want to worry about
whether we are enrolled from year to year. Do you have an
automatic renewal option?
Changes/Cancellations
We sure do! By checking the Automatic Renewal box on the PT
order form or your renewal form, you will never again have to
worry about proficiency testing enrollment or placing your order New Orders or Additions
for a new program year. We will automatically re-order the
modules in which you participated the previous year, generate All new orders must be submitted in writing to MLE. All changes
an order verification for your review, and send an order change to an existing order must be submitted in writing to MLE before
form should you wish to add or delete modules from your they can be entered into the order processing system. Please send
renewed order. Simple. Easy. And best of all, one important your order or order changes in writing at least four weeks prior to
management detail that you never have to worry about again! the next shipping date to avoid additional shipping fees. MLE
See the “Cancelling an Automatic Renewal Order” section for ships three times per year. You may enroll throughout the year.
more information. Note: The MLE catalog lists prices for the full year. After the first
2. When to Order: When does my order have to be submitted event, module pricing is prorated. If you add a module less than
to ensure availability of the modules I ordered? four weeks prior to the next shipping date, you MAY be subject to
a “rush order” fee. Call MLE Customer Service at 1-800-338-2746,
We encourage you to enroll in MLE as soon as you can to guaran-
option 5, for more information.
tee product availability. Enrolling by December 17, 2010, will
ensure that you receive shipments for the entire year. Remember,
payment is not due until 30 days AFTER enrollment. (Enroll any
time before November and we will not invoice you until Cancelling a Module
November.) If we receive your written request for cancellation of a module(s)
You may enroll any time thereafter at a prorated cost depending at least four weeks prior to the next shipping date, you will not be
on the availability of specimens. For every missed event that you held accountable for payment of the module for the remaining
are not enrolled, 1/3 of the module price is deducted. The annual shipments. Unless otherwise requested, we will credit your account
administration fee remains. Note: The online ordering form auto- for that amount and the credit will be applied to additions to your
matically displays prorated prices. See question 4 for more details order or toward enrollment for the next year.
on prorated pricing.
3. Individual International Orders: I live outside the United If you cancel a module less than four weeks prior to the
States and Canada and I am not with a distributor of MLE next shipping date, you are financially responsible for the
in my country. Please tell me about the shipping process. cost of the module for the next shipment. You will NOT be
Individual laboratories outside the U.S. and Canada are subject to financially responsible for subsequent shipments. For example, you
a minimum $50 fee per shipment to cover shipping costs. Some cancel (in writing) a module on January 10, 2011. The first ship-
destinations may be subject to additional S/H. Contact MLE ment (M1) is scheduled to be shipped on February 7, 2011. You are
Customer Service for specific shipping pricing information. responsible for the cost of the module for M1 but not for M2 or M3.
Additionally, MLE cannot replace kits that are delayed or refused
entry into your country. We will not issue credit or refunds on
such shipments. Cancelling an Analyte
When enrolling in any of the MLE modules that involve hazardous
material, laboratories outside the U.S., including Canadian labora- Please submit a “Test Menu Deletion” form if your laboratory
tories, must send to MLE any copies of the necessary valid permits reported tests during the previous event that have since been
for attachment to each shipment. The shipments will not be sent discontinued, but you are not cancelling the module. Download
without required documentation. the form at www.acponline.org/mle/enroll.htm, scroll to “Forms”,
or copy the form in your MLE Program Guide, p. 32.
Freight charges are not included in the commercial pricing. You
will be invoiced for freight charges AFTER each shipment. These
charges are due BEFORE your evaluation is mailed.
Cancelling the Entire Order
4. Order Changes: Can I change my order at any time?
We will refund any charges for unshipped specimens if we receive
Sure! We make every effort to accommodate new orders or order
notification in writing four weeks prior to the next shipping date.
changes throughout the year, subject to product availability.
Once we have shipped orders for pipettes, we cannot cancel the
See “New Orders or Additions” and “Cancelling a Module” for
order or refund the cost. The annual administration fee is non-
more information.
refundable.
5. Irregular Order Frequency: Can I order modules outside
my regular order? If so, do I have to be an MLE participant
to order modules from you? Cancelling an Automatic Renewal Order
Proficiency Testing is available upon request at any time during
the program year (subject to product availability). Those enrolled If you are enrolled in Module 116 (automatic renewal) and wish to
with other PT providers are welcome to call upon MLE for help cancel your entire order, you are required to contact MLE in writ-
with reinstatement and compliance emergencies. See page 16 for ing NO LATER THAN December 17, 2010, to avoid any charges
details on off-schedule testing. for the upcoming year.

Medical Laboratory Evaluation 2011 www.acponline.org/mle 19


Price Matching for
Unmatched Service!

Found a better price? We’ll match it! MLE


protects your need for budgetary constraint
while providing the best possible PT service
in the industry.

Complete the “MLE Price Match Request


Form” (page 21), listing only the tests you
actually perform. This form enables MLE
to match your actual needs to our most
economic offerings and save you the most
money. If our prices aren’t the best, we will
match our competitor’s pricing for the same
test menu coverage. We strive to give you
more of what you need without the excess!
20
2011 Price Match Request Form: Medical Laboratory Evaluation

Questions? Contact MLE


Fax this form AND your current PT provider’s quote/order to: 202-835-0440 800-338-2746, #5 or mle@acponline.org
Contact: __________________________________________________ Facility:_____________________________________State:__________
Phone:_________________________ Fax: ____________________ E-mail:_____________________________________________________
Accreditation Service: CAP_______ COLA __________________ CMS_______ TJC (JCAHO)_______ OTHER: ___________________
Primary PT Service: AAB________ AAFP______________ AccuTest________ CAP Surveys________ CAPExcel__________
MLE________WSLH________ OTHER: _________________________________________
Secondary PT Service:___________________ For which tests? _______________________________________________________________

ABBREVIATION CODE: Waived (W) Nonwaived (NW) Full Instrument Name (I)
HEMATOLOGY IMMUNOLOGY __Glucose, whole blood I:______________________
__Blood Cell Identification __Allergen Specific IgE I: _____________________ W_____ NW_____
(manual differential) __Anti-Streptolysin O (ASO) __Glucose, serum
__CBC __Antinuclear Antibody (ANA) Method: _______ __hCG Serum
Differential, Automated: __Anti-DsDNA __Iron
__1-3 Part Diff __Anti-RNP __LDH
__5 Part Diff __Anti-Sm __Lipase
I: ________________________________________ __Anti-SSA __Magnesium
__Crystal Screening __Anti-SSB __Phosphorus
__Fluid Cell Count __Complement C3/C4 __Protein, Total
__Hematocrit _____W _____NW __C-Reactive Protein (CRP) __TIBC
__Hemoglobin _____W ______NW __C-Reactive Protein, high sensitivity (HS-CRP) __Urea Nitrogen (BUN)
__Reticulocyte Count IM:________ Manual?_____ __H. pylori, Antibody Detection __Uric Acid
__IgA, Total CARDIAC MARKERS
__Sedimentation Rate IM: ____________________
__IgE, Total Instrument: ________________________________
COAGULATION __BNP
__IgG, Total
__Fibrinogen __CK-MB
__IgM, Total
__Partial Thromboplastin Time (APTT) or (PTT) __Myoglobin
__Infectious Mononucleosis _____W _____NW
__Prothrombin Time (PT) I: __________________ __Lyme Disease Serology __NT-pro BNP
__PT/INR whole blood methods _____W_____NW __Rheumatoid Factor (RA) __Troponin I
BLOOD BANK (check here if all apply)_____ __Rubella __Troponin T
__ABO Group __Syphilis Serology ENDOCRINOLOGY
__Antibody Detection VIRAL MARKERS __C-peptide
__Antibody Identification __Anti-HBC __CEA
__Compatibility Testing __Anti-HIV _____W _____NW __Estradiol
__Crossmatch __HAV __Ferritin
__Rh Factor (D Type) __HbeAg __Folate
URINALYSIS __HbsAb __FSH
__Creatinine, Urine __HbsAg __ Glycohemoglobin I:________________________
__Fecal Occult Blood __HCV __Homocysteine
__hCG, urine _____W _____NW CHEMISTRY __Insulin
__Microalbumin, quantitative Primary Instrument: ______________________ __LH
__Urine Dipstick Secondary Instrument: ____________________ __Parathyroid hormone (PTH)
__Urine Sediment Identification LIVER TESTS (check here if all apply) ______ __Progesterone
__Urine Drug Screen __Bilirubin, Total __Prolactin
PPM __Bilirubin, Direct __PSA, Total
__Eosinophils Nasal __Bilirubin, Neonatal __PSA, Free
__Fecal Leukocytes __ALT (SGPT) __Testosterone
__Fern Testing __AST (SGOT) __Transferrin
__KOH Vaginal Prep __Alkaline Phosphatase __Vitamin B12
__KOH Skin Prep __Albumin THERAPEUTIC DRUGS:
__Nasal Eosinophils __GGT (check here if all apply)_____
__Pinworms LIPID TESTS (check here if all apply) ______ __Acetaminophen
__Cholesterol, Total __Amikacin
__Sperm
__Triglyceride __Carbamazepine
__Wet Mount Preparations
__HDL Cholesterol __Digoxin
MICROBIOLOGY
__LDL Cholesterol __Gentamicin
__Affirm VPIII (DNA)
THYROID TESTS (check here if all apply)___ __Lithium
__Antimicrobial Susceptibility Testing __T3, Free __Phenobarbitol
__Chlamydia (EIA/DNA) __T3, Total __Phenytoin
__Dermatophyte Screen __T3, Uptake __Salicylate
__GC Culture __T4, Free __Theophylline
__GC (EIA/DNA) __T4, Total __Valproic Acid
__Gram stain __TSH __Vancomycin
__MRSA Screening ELECTROLYTES (check here if all apply)___ BLOOD GASES
__Stool, Parasitology __Sodium Primary Instrument: ______________________
__Throat Culture __Potassium Secondary Instrument: ____________________
__Urine Colony Count __Chloride __Ionized Calcium
__Urine Culture Method: ____________________ __CO2 __pCO2
__Culture Other Sources: ____________________ OTHER CHEMISTRY TESTS __pH
ANTIGEN DETECTION __Alcohol, Serum __pO2
__C. difficile __Acetone TUMOR MARKERS
__Cryptosporidium __AFP __Beta-2 Microglobulin
__Giardia lamblia __Ammonia __CA 125
__Influenza B _____W _____NW __Amylase __CA 15-3
__Influenza A _____W _____NW __Apolipoprotein A1/B __CA 19-9
__Legionella, urine __Calcium __CA 27-29
__Rotavirus __Cortisol __Thyroglobulin
__RSV _____W _____NW __Creatine Kinase (CK)
__Strep A _____W _____NW __Creatinine, Serum Other Tests Not Listed ____________________
__Strep pneumoniae, urine __Fructosamine ____________________________________________

21
2011 SHIP DATES M1: Feb. 7 • M2: May 16 • M3: Sept. 12

How To Order 4. Enter the laboratory’s CLIA identification number. If you do


not know your CLIA identification number, contact your
CMS Regional Office.
5. Print the address of the location where the proficiency test-
If you would like assistance with designing the most economical ing specimens and program paperwork should be shipped (if
order or have questions about our service or your order, contact different from the “BILL TO” address). We will send the PT
MLE for assistance at 1-800-338-2746, option 5, or send us an specimens via one-day express delivery to the “SHIP TO”
e-mail at mle@acponline.org. address. For this reason, we cannot deliver specimens to a
PO Box, so please provide a complete street address.
6. Designate the regulatory agency(ies) or lab consultant(s) to
Order Online with Ease! receive a copy of your PT results by checking the appropri-
www.acponline.org/mle ate box. Don’t forget to include the COLA or state agency
number assigned to you, if applicable, and the name,
• Click on the “Enrollment info” link. address, and phone number of any other persons who should
• Click on the “2011 MLE PT Order Form” link. receive a copy of your results.

• Complete the electronic form. It will calculate pricing for Indicate “Auto Renewal”.
you. Once you submit the form, it will provide you with a Indicate “Express Evaluation Reports”.
summary of your order to print for your records. That’s it!
7. Indicate a module number, description, quantity, and price.
If you are ordering an educational resource, click on the Quantity of “1” includes a full year of shipments.
Educational Resources link.
Method of Payment
Order By Fax 8. Specify the method of payment by checking the correspon-
ding box.
Complete the PT order form insert (or the Educational Resources
order form). Fax your completed order form to MLE: 202-835-0440. Enroll now to ensure the availability of specimens for the
If using a PO, please fax a copy of it with the order form. 2010 program year. We will not bill you until November.
Subsequent enrollments will be billed within 1 week after
activation and are payable within 30 days.
Order By Mail Invoice Option: FAX (202-835-0440) the order form or
Complete the PT order form according to these instructions and MAIL it to the Washington, DC, address listed on the form.
mail it to the address printed on the form. Billing terms are normally net 30 days from the date of
Note: Purchase Orders (PO) must be accompanied by a renewal invoice.
form or order form. POs by themselves will not be accepted. Credit Card Option: FAX (202-835-0440) the order form or
MAIL it to the Washington, DC, address listed on the form.
Check VISA or MasterCard, indicate the card bearer’s name,

PT Order Form card number, and signature and the expiration date.
Check Option: MAIL the order form and check to the

Instructions Philadelphia address listed on the form.


Purchase Order (PO) Option: FAX (202-835-0440) the
order form or MAIL the order form and a copy of the PO to
the Washington, DC, address listed on the form.
Enroll in MLE by December 17, 2010, to ensure you receive ship-
ments for the entire year. You may enroll any time after the first Billing terms are net 30 days from the date of invoice.
event at a prorated cost depending on the availability of specimens. Tax ID: 23-2520302
DUNS NO: 07-162-5974
Using the PT Order Form
Amount Due/Discounts
Formulate Your Order 9. Add the cost of all the items you checked to the annual
administration fee of $85.
Review the catalog to determine the products which best meet your
proficiency testing (PT) needs. Enter the total amount in the box. If you qualify for an MLE
Note any instructions that refer to specific regulatory require- ADVANTAGE discount, please check the appropriate box
ments or instrument/method compatibility. Choose the product and provide the appropriate information.
most appropriate for your testing needs. Please pay close
attention to instrument compatibility notes when select-
ing hematology modules and coagulation modules. Next Step
• Photocopy the order form for your records.
Top Section • Within two weeks, you should receive an “Order
Complete the PT order form (last page of catalog). Verification” confirming receipt of this order. If you do
not receive the order verification within two weeks,
1. Indicate whether you are new to the MLE program or please contact us immediately.
renewing your enrollment.
2. Print the address of the location where the invoice state- The MLE products you order may contain pathogenic material. By
ment should be mailed (“BILL TO”). returning the order form, you assume all risk and responsibility in
3. Print the name of the laboratory director. connection with the receipt, handling, storage, use, and disposal of
the products.

Medical Laboratory Evaluation 2011 www.acponline.org/mle 22


MLE Proficiency Testing Price List
Code/Description *Full Year Code/Description *Full Year Code/Description *Full Year

HEMATOLOGY 644/Urine Culture/Strep Antigen . . . .$249 790/Anti-HIV  . . . . . . . . . . . . . . . . .$132


210/Hematology . . . . . . . . . . . . . . . . . .$198 645/Urine/Throat Culture . . . . . . . . . .$249 791/Anti-HIV . . . . . . . . . . . . . . . . . . . .$300
211/Basic Hematology . . . . . . . . . . . . .$186 646/Genital Culture . . . . . . . . . . . . . .$240 CHEMISTRY
212/Hemoglobin/Hematocrit . . . . . . . .$165 647/Urine Culture/Presump.ID/CC . .$288 810/Chemistry . . . . . . . . . . . . . . . . . . .$306
213/Hemoglobin/Hematocrit  . . . . .$120
215/Hemoglobin/Glucose—HemoCue .$138
648/Colony Count . . . . . . . . . . . . . . . .$177 811/Cholestech Chemistry  . . . . . .$147
649/Presump.ID/CC/Strep A Antigen $273 812/Piccolo Waived Chemistry . . . . . .$186
223/Abbott 5-Part Diff . . . . . . . . . . . .$294
224/Sysmex 3-Part Diff . . . . . . . . . . . .$213 650/Gram Stain . . . . . . . . . . . . . . . . . .$153 813/Comp. Metabolic Panel . . . . . . . .$228
225/Hematology 3-Part Diff . . . . . . . .$237 652/Throat Culture/Urine 814/Basic Metabolic Panel . . . . . . . . .$180
226/Hematology 5-Part Diff . . . . . . . .$294 Presump ID . . . . . . . . . . . . . . . . . . .$288 815/Hepatic Profile . . . . . . . . . . . . . . .$198
227/QBC Hematology . . . . . . . . . . . . .$294 654/Genital Culture  . . . . . . . . . . . $100 816/Hepatic Profile  . . . . . . . . . . . . . .$39
228/Hematology 5-Part diff- 660/Strep A Antigen Detection . . . . . .$147 817/i-STAT Chemistry 1 . . . . . . . . . . .$300
ACT 5 & Pentra 60C+ . . . . . . . . . . .$294 662/Strep A Antigen  . . . . . . . . . . . . .$87 818/i-STAT Chemistry 2 . . . . . . . . . . .$210
229/Hematology 5-Part 819/Chemistry 1 . . . . . . . . . . . . . . . . .$174
668/Affirm VP Antigen Testing . . . . .$354
diff-Sysmex XE/XT . . . . . . . . . . . . . .$294 820/Chemistry 2 . . . . . . . . . . . . . . . . .$204
670/Chlamydia (EIA, DNA) . . . . . . . .$279
230/Blood Cell Id  . . . . . . . . . . . . . . .$27 821/Chemistry 3 . . . . . . . . . . . . . . . . .$234
231/Blood Cell Id . . . . . . . . . . . . . . . . . .$90 673/Chlamydia  . . . . . . . . . . . . . . . .$117 822/Add’l Chemistry  . . . . . . . . . . . . .$39
240/Reticulocyte Count . . . . . . . . . . . .$186 675/Chlamydia/GC (EIA, DNA ) . . . .$306 823/Enzyme Chemistry  . . . . . . . . . .$39
247/Sed Rate . . . . . . . . . . . . . . . . . . . .$147 678/Dermatophyte Screen . . . . . . . . .$159 824/Thyroid Profile . . . . . . . . . . . . . . .$210
248/Sed Rate-Sedimat15 . . . . . . . . . . .$147 680/Resp. Antigen Det.  . . . . . . . . . .$156 825/Thyroid Profile  . . . . . . . . . . . . . .$48
250/Body Fluid/Cell ct/Cryst . . . . . . .$144 681/Resp. Antigen Detection . . . . . . .$249 826/Lipid Profile . . . . . . . . . . . . . . . . .$204
682/C. diff/Rotavirus Ag Det. . . . . . . .$222 827/Lipid Profile  . . . . . . . . . . . . . . . .$39
COAGULATION 829/Apolipoproteins . . . . . . . . . . . . . .$114
683/Giardia lamblia/
320/Coagulation . . . . . . . . . . . . . . . . .$165 Cryptosporidium Ag Det . . . . . . . .$279 830/TDM . . . . . . . . . . . . . . . . . . . . . . .$204
321/Prothrombin Time . . . . . . . . . . . .$156 831/TDM  . . . . . . . . . . . . . . . . . . . . . .$48
686/Legionella Antigen Detection . . .$183
328/i-STAT Pro Time . . . . . . . . . . . . .$225 832/i-STAT Chemistry  . . . . . . . . . .$141
687/Strep Pneumoniae Antigen Det. .$183
329/ITC Pro Time  . . . . . . . . . . . . . .$129 835/Serum Alcohol/Acetone . . . . . . . .$201
330/CoaguChek XS PLUS . . . . . . . . .$192 690/Parasitology . . . . . . . . . . . . . . . . .$222 836/Ammonia . . . . . . . . . . . . . . . . . . . .$135
NEW! 331/CoaguChek XS  . . . . . . .$111 695/MRSA Screen . . . . . . . . . . . . . . . .$237 841/Neonatal Bilirubin . . . . . . . . . . . .$192
842/Direct Bilirubin  . . . . . . . . . . . . .$30
IMMUNOLOGY
BLOOD BANK 843/Direct Bilirubin . . . . . . . . . . . . . . .$90
750/Immunology . . . . . . . . . . . . . . . . .$234 845/Cardiac Markers . . . . . . . . . . . . .$168
NEW! 450/Rh Factor (D Type) . . . . . .$225
451/ABO & Rh Factor (D Type) . . . . .$276 751/Rheumatology . . . . . . . . . . . . . . . .$159 846/BNP . . . . . . . . . . . . . . . . . . . . . . . $183
452/Blood Bank I . . . . . . . . . . . . . . . . .$540 755/Infectious Mono  . . . . . . . . . . . . .$90 847/Blood Gases . . . . . . . . . . . . . . . . .$261
453/Blood Bank II . . . . . . . . . . . . . . . .$567 761/Infect Mono/Rheumatoid Factor .$219 848/Biosite Triage Cardiac Panel . . . .$354
762/Infectious Mono . . . . . . . . . . . . . .$156 850/Glycohemoglobin . . . . . . . . . . . . .$156
763/Rheumatoid Factor . . . . . . . . . . .$156 851/Afinion Glycohemoglobin . . . . . . .$156
URINALYSIS
764/CRP . . . . . . . . . . . . . . . . . . . . . . . . .$90 855/Fructosamine . . . . . . . . . . . . . . . .$138
530/Urinalysis . . . . . . . . . . . . . . . . . . . .$84 856/Blood Oximetry . . . . . . . . . . . . . .$231
531/Urinalysis Dipstick . . . . . . . . . . . .$66 765/HS-CRP . . . . . . . . . . . . . . . . . . . . . .$93
857/Blood Oximetry  . . . . . . . . . . . . .$96
532/Urine Sed Id . . . . . . . . . . . . . . . . . .$90 766/ANA LATEX . . . . . . . . . . . . . . . . .$147
859/PSA  . . . . . . . . . . . . . . . . . . . . . .$42
533/Urine Sed Id  . . . . . . . . . . . . . . .$18 767/ANA (ELISA/IMMUNO ONLY) .$153 860/Endocrinology/Hematology/
534/PPM . . . . . . . . . . . . . . . . . . . . . . . .$93 770/Specific Allergen Testing . . . . . . .$315 Oncol . . . . . . . . . . . . . . . . . . . . . . . . .$180
535/PPM  . . . . . . . . . . . . . . . . . . . . . .$21 771/Rubella . . . . . . . . . . . . . . . . . . . . .$153 861/PSA . . . . . . . . . . . . . . . . . . . . . . . . .$99
536/Microalbumin—Quant  . . . . . . .$72 772/Syphilis Serology . . . . . . . . . . . . .$168 862/Tumor Markers . . . . . . . . . . . . . .$357
537/Fecal Occult Blood  . . . . . . . . . . .$66 863/Endocrinology 2 . . . . . . . . . . . . . .$159
773/Diagnostic Allergy . . . . . . . . . . . .$315
538/KOH Slides . . . . . . . . . . . . . . . . . .$120 864/Thyroid Antibodies . . . . . . . . . . . .$201
774/Lyme Disease Serology . . . . . . . . $201
539/Microalbumin—Quant . . . . . . . . . .$87 865/Serum hCG . . . . . . . . . . . . . . . . . .$153
540/Urine hCG  . . . . . . . . . . . . . . . . .$21 775/Viral Markers . . . . . . . . . . . . . . .$468
866/Serum hCG  . . . . . . . . . . . . . . . .$75
541/Urine hCG . . . . . . . . . . . . . . . . . . .$63 776/CRP  868/Urine Drug Screening—Qual . . .$174
NOT HIGH-SENSITIVITY . . . . . . . .$45
542/Fecal Occult Blood . . . . . . . . . . . . .$84 870/Whole Blood Glucose . . . . . . . . . .$237
777/HS-CRP  . . . . . . . . . . . . . . . . . . .$48
550/AmniSure Fetal Memb. Rupture .$249 871/Whole Blood Glucose  . . . . . . . .$135
778/ANA  (LATEX ONLY) . . . . . . . .$90 880/Add’l Chem Testing Material . . . .$99
MICROBIOLOGY 779/ANA  (ELISA/IMMUNO ONLY) $96
901/Waived and PPM Package . . . . . .$196
630/Bacteriology 1 . . . . . . . . . . . . . . . .$255 780/H. pylori Antibody Det . . . . . . . . .$135
100/Annual Fee (Includes Binder) . . . .$85
640/Bacteriology 2 . . . . . . . . . . . . . . .$249 781/Mycoplasma Antibody . . . . . . . . .$117
641/Throat Culture . . . . . . . . . . . . . . .$240 782/ANA Expanded . . . . . . . . . . . . . . .$204 LAB SUPPLIES
642/Throat Culture/Strep A Antigen .$243 783/ANA Expanded  . . . . . . . . . . . .$147 121/1mL Pipette . . . . . . . . . . . . . . . . . .$20
643/Urine Culture . . . . . . . . . . . . . . . .$249 NEW! 784/Comp/Immuno . . . . . . . . .$186 126/Pipette Pump . . . . . . . . . . . . . . . . .$24

=Waived • =Add-On • *Enroll after the 1st event and prices are prorated by 1/3 per event.

Medical Laboratory Evaluation 2011 www.acponline.org/mle 23


2011 MLE PT Order Form 10PCL

1 䡺 New Enrollee 5 Ship To: (no PO boxes for kit delivery)


䡺 Renewing Participant: MLE ID # _________________________ 䡺 Same as “bill to” address.
2 Bill To: (please clearly print or type) Contact ________________________________________________

Contact ________________________________________________ Facility Name __________________________________________


Address ________________________________________________
Facility Name __________________________________________
_______________________________________________________
Address ________________________________________________
City _____________________________State ____ZIP _________
_______________________________________________________
Country (other than U.S.): _______________________________
City _____________________________State ____ZIP _________ Phone ______________________Fax _______________________
Country (other than U.S.) _______________________________ E-mail: ________________________________________________
Phone ______________________Fax _______________________ 䡺 Ship kit to different address (attach information)
E-mail _________________________________________________ 6 Send a copy of my PT results to: 䡺 CMS
䡺 CAP ID___________________ 䡺 COLA__________________
3 Lab Director ____________________________________
䡺 State Agency ID #____________________________________
4 CLIA ID # _______________________________________
䡺 Other (attach name, address and phone number)

䡺 Activate Auto Renewal at no charge. 䡺 Express Evaluation Reports. Do not mail my reports.
(see page 16 for details) Instead, e-mail them to the e-mail adress below:
7 __________________________________________________

Quantity Module # Description Price Ext. Quantity Module # Description Price Ext.

2 210 L E
A M P Module
E X Hematology $168 $336
Start
here

Please note: Cancel a module IN WRITING up to 4 weeks prior to the upcoming shipment to avoid being charged.

The MLE products you have ordered may contain pathogenic material. By returning this order form, you assume FOR MLE USE ONLY
all risk and responsibility in connection with the receipt, handling, storage, use, and disposal of the material.

8 Method of Payment WITHOUT check: ADVANTAGE Discounts


(Tax ID # 23-1520302) (DUNS #: 07-162-5974) Medical Laboratory Evaluation (offers cannot be combined)
Suite 700
䡺 Send Invoice
25 Massachusetts Avenue, NW Ongoing Discounts
䡺 Check (payable to ACP/MLE) Washington, DC 20001-7401 䡺 1—MLE + ACP Membership - SAVE $85
U.S. funds drawn on U.S. bank disclosure ACP Member No._________________________________
䡺 Purchase Order # ____________________________ 9 Amount Due 䡺 2—NEW MLE + COLA Member - SAVE $85
䡺 Charge to: 䡺 VISA 䡺 MasterCard Total Cost of Items Above = $ ________ 䡺 3—NEW COLA, MLE, ACP Member - SAVE $85 + 10%
Card # _________________________________________ ACP Member No._________________________________
– Applied Discount Amount $ ________
Exp. ___________________CVV2 (# on back) _______ 䡺 4—Multisite Organization - SAVE 10%
Name on Card__________________________________ Subtotal = $ ________ Management Group Code _______________________
Signature ______________________________________ + Annual Administration Fee 85
$ ________ 䡺 5—Consultant-SAVE 10%
Consultant Code________________________________
Billing Street Number __________________________
Total Amount Due = $ ________ 䡺 8—Federal Agency - SAVE 15% (U.S.)
Billing Zip _____________________________________
25% (Outside U.S.)
䡺 Mailing the Order Form/Renewal Form 䡺 10—CAP-accredited - SAVE $85
WITH check: FAX this form to: 202-835-0440 One-Time Discounts
R0800 䡺 9—Recruit 1, Waive 2 - SAVE $85
ACP/MLE (call 1-800-338-2746, option 5, Referring lab’s MLE ID #________________________
PO Box 7777
Philadelphia, PA 19175-0800 to confirm receipt of fax) 䡺 13—Former MLE Participant - SAVE 10%
䡺 14—First year with MLE - SAVE $85

24 www.acponline.org/mle Medical Laboratory Evaluation 2011


MLE ADVANTAGE
Discounts

New incentive offer for CAP-accredited Labs-See Ongoing Discount 10.

MLE ADVANTAGE Discounts—Your Solution to Savings Starts Here!


Review the table below to see if you qualify for any of the ADVANTAGE offers. Then, simply check the appropriate ADVANTAGE
box and complete any other required information on the online or hard copy PT Order Form.

ADVANTAGE Description Eligibility


Number /
Savings Requirements

Ongoing Discounts (applied each year enrolled in MLE)


1 Save $85 ACP Members • Current in or new to MLE and ACP

COLA Members • New to MLE and current in or new to COLA


2 Save $85 For add'l benefits, visit:
www.acponline.org/mle/
acp-cola

3 *Save $85 PLUS 10% ACP Members • Current in 2 of the organizations and new
and COLA Members to the 3rd organization
For add'l benefits, visit: MLE/ACP/COLA
www.acponline.org/mle/
acp-cola
4 *Save 10% Multisite • Current in or new to MLE
• Must have 3 or more enrolled labs

5 *Save 10% Consultant affiliation • Current in or new to MLE


• Must indicate independent consultant

8 *Save 15% in U.S. or State and Federal • Current in or new to MLE


25% outside the U.S. agencies worldwide
10 Save $85 CAP-accredited • CAP-accredited new to MLE

One-Time Discounts (applied for 2010 program)


9 Recruit and Recruit a new lab • Enrolled lab and new lab must be enrolled
For criteria, visit: for 2010
Recruiter save $85 www.acponline.org/mle/
2011discounts
13 Save $85 Former MLE participants • Not enrolled in MLE for 2010

14 Save $85 New to MLE • Never enrolled in MLE


*Percentage discounts are applied to module pricing only.
Note: Select the eligible offer that provides the greatest discount. We are unable to apply more than one ADVANTAGE offer.

Price matching also available. See pages 20 and 21.


Non-Profit Org.
U.S. Postage
PAID
ACP

190 North Independence Mall West


Philadelphia, PA 19106-1572

Waived or Not Waived? That is the Question!


Purchase a new test kit lately? Does the company claim it’s CLIA waived? Double check with the FDA’s website before
reporting your method for PT.
Find information on newly waived tests by enrolling in MLE's PT program. Then, sign up for our FREE e-mail notification
service—E-Notification on Newly Waived Tests and Recalls and Field Corrections
In addition to the recall e-notification service, MLE provides:
• Notification of changes or additions to the CMS list • A reminder prompt for notifications involving Microbiology
of waived laboratory tests. tests, to ensure regulatory compliance for any remaining
• A wide array of cost-saving Waived Testing Modules non-waived analytes.
for continued quality assurance at a lower cost. • FREE E-notification on newly waived tests
• Cost effective Two-Challenge modules
• Improve Quality Assurance on waived testing

P.S. MLE's E-Notify service is one more reason to perform PT on waived tests.

NEW MODULES
What’s New For 2011
Module No. Description Catalog Module No. Description Catalog
Page No. Page No.
COAGULATION IMMUNOLOGY

331 CoaguChek XS Plus-Waived . . . . . . .6 784 Complement/Immunoglobulins.... . . . . . . . .10

BLOOD BANK
450 Rh Factor (D Type) . . . . . . . . . . . . . .6

MLE9030-2

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